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General NPI Number Information
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NPI Number | 1437102332
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Entity Type | Organization
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Legal Business Name | IMAGING CENTER OF PENSACOLA INC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 4996 N DAVIS HWY
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City | PENSACOLA
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State | FL
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Zip | 32503-2344
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Country | US
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Telephone | 850-475-9040
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Fax | 850-475-9049
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Provider Business Mailing Address
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Address Line | 4996 N DAVIS HWY
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City | PENSACOLA
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State | FL
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Zip | 32503-2344
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Country | US
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Telephone | 850-475-9040
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Fax | 850-475-9049
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | MRS. SHERRIN G SOWERS
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Credential |
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Telephone | 850-475-9040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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